Gender Affirming Care Melbourne CBD
If you are looking for convenient adult gender affirming care in Melbourne CBD Healthcare on Collins is here to support you with respectful, inclusive, personalised and accessible healthcare.
This care can be solely provided by Healthcare on Collins or complement patients’ existing GPs by focusing on gender-affirming hormones and other therapies. This approach enhances patient convenience and supports continuity of care.
An informed consent approach is used at the practice to help patients make informed decisions about their gender-affirming hormone therapy. Before treatment, patients receive information about the expected changes, potential risks, and which effects may be permanent or reversible. The process also covers ongoing monitoring and responsibilities for their ongoing care.
Ready to take the next step? Book a consultation with your Melbourne CBD GP team to discuss your healthcare goals.


What Is Gender Affirming Care?
Gender affirming care is healthcare that supports people whose gender identity may differ from the sex they were assigned at birth. The goal is to provide respectful, personalised care that helps patients feel comfortable and supported in their bodies.
The gender affirming care GP provides consultations and ongoing support for adults exploring or accessing gender affirming treatments including hormone therapy, relevant referrals for gender affirming surgery and/or targeted mental health providers.
Gender affirming hormone therapy in Melbourne may include masculinising treatments, such as testosterone therapy for eligible patients who are assigned female at birth. Feminising treatments such as oestrogen or oestradiol-based therapy, progesterone and anti-androgens are optional for eligible patients assigned male at birth. Non-binary identifying patients may also choose hormone therapy at lower doses than transgender targets depending on their individual goals.
Every person’s healthcare journey is different. Treatment decisions are made through open conversations between you and your doctor, taking into account your health history, goals, preferences and wellbeing.
The hormone therapy approach for transgender and gender incongruent patients in Melbourne aligns with recognised Australian healthcare guidance, including recommendations from organisations such as the Australian Professional Association for Trans Health and the Royal Australian College of General Practitioners (RACGP).
What Is the Informed Consent Model for Gender Affirming Hormone Therapy in Australia?
The informed consent model for hormone therapy in Australia is a patient-centred approach that focuses on education, shared decision-making and respect for individual autonomy.
Under this model, your inclusive GP in Melbourne CBD provides clear information about the benefits, possible risks, expected changes and health considerations of hormone therapy. You can then make an informed decision about whether treatment is right for you.
For adults seeking a trans and gender incongruent-friendly doctor in Melbourne, Healthcare on Collins can facilitate this care through an informed consent approach. Many people believe specialist endocrinologist or psychiatric approval is mandatory before accessing hormone therapy. However, for eligible adults, a GP experienced in gender-affirming care can assess their needs, provide information about treatment and support informed decision-making. Where appropriate, hormone therapy may be prescribed following this process, sometimes as early as the second appointment.

Who Can Benefit from the Therapy?
AFAB (assigned female at birth) patients exploring masculinising hormone therapy, including testosterone-based treatment where appropriate.
AMAB (assigned male at birth) patients exploring feminising hormone therapy, including oestrogen, progesterone and anti-androgens where appropriate
Non-binary patients seeking microdosing, partial masculinisation/feminisation, or tailored hormone goals.
Some patients may want specific physical changes, while others may be seeking a different balance of effects that aligns with their identity and wellbeing.
Your First Appointment: What to Expect
A gender incongruence GP in Australia can provide supportive, respectful healthcare for people experiencing gender-related concerns and help them explore options that align with their identity and wellbeing.
Your first appointment generally involves:

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Education and Initial Consultation
Your first consultation is a longer appointment and focuses on understanding your goals and expectations, discussing your healthcare history, identifying your capacity to consent to any risks involved and explaining how hormone therapy may work for you.
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Baseline Health Assessment
Before starting treatment, your doctor will review your medical history and may arrange baseline blood tests. These checks help your GP understand your current health and establish safe monitoring throughout treatment.
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Starting Hormone Therapy
For suitable candidates, hormone therapy can often be initiated during your second visit following the review of your baseline blood tests and health assessment.
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Ongoing Monitoring and Support
Gender affirming hormone therapy requires regular reviews to monitor your health and adjust treatment when needed. The goal is to provide ongoing support throughout your healthcare journey, not just a single appointment. Frequently in the first year of treatment there is an expectation for 3 monthly reviews to monitor progress and optimise outcomes. This timeframe lengthens accordingly and is assessed on an individual basis from the second year onwards.
Addressing Common Misconceptions About Gender Affirming Care
There is a lot of misinformation surrounding gender affirming care and hormone therapy. We believe patients should have access to accurate information so they can make confident decisions about their health.
“You need to see a psychiatrist before starting hormone therapy”
This is a common misconception. For many adults, a psychiatrist assessment is not required before accessing gender affirming hormone therapy. The informed consent model for hormone therapy in Australia allows trained GPs to support patients through education, assessment and shared decision-making.
“Hormone therapy can shorten your lifespan”
There is no evidence that appropriately prescribed and monitored gender affirming hormone therapy shortens a person’s lifespan. Like any medical treatment, hormone therapy requires regular health reviews and monitoring to support safe and effective care.
“Hormone therapy causes extreme emotional changes or anger”
Non-binary hormone therapy can affect people differently, and some patients may notice changes in mood or emotions as their body adjusts. However, the idea that hormones automatically cause emotional instability or anger is an oversimplification. Your experience will depend on many individual factors, including your health, circumstances and support network.
“It takes months before you can start treatment”
Many people believe accessing gender affirming hormone therapy in Melbourne involves lengthy delays. Following your initial education consultation and necessary health checks, hormone therapy may be available from your second appointment where clinically appropriate.
Important Health Considerations Before Starting Hormone Therapy
During your first consultation, your GP will discuss important considerations, including:
Fertility considerations
Hormone therapy may affect fertility in some people. Healthcare on Collins discusses fertility considerations early in the process, allowing you to understand your options and make decisions that are right for you. Referrals to access fertility preservation services prior to hormone commencement are discussed by your informed consent GP for anyone interested.
Baseline health checks
Before commencing treatment, your doctor may recommend blood tests and review your medical history. These checks help establish a health baseline and support safe monitoring over time.
Reversible and permanent changes
Different effects of hormone therapy may be reversible or permanent depending on the treatment, duration and individual response. Your GP will explain expected changes and projected timeframes as part of the informed consent process so you can make an informed choice.
Ongoing monitoring
Regular follow-up appointments are an important part of your ongoing care, helping your GP monitor your progress and ensure your treatment continues to meet your individual needs.
Your GP will monitor your health status, review your progress and adjust your treatment when required. The approach is focused on providing thorough, supportive care without unnecessary barriers.
Why go to Healthcare on Collins for Gender Affirming Care Melbourne CBD?
Select GPs at Healthcare on Collins provide accessible and respectful gender affirming care in Melbourne CBD, supporting adults through every stage of their healthcare journey.
Located at 250 Collins Street, Melbourne, select GPs offer:
- Experienced and passionate GP-led gender affirming care with a focus on patient education and shared decision-making.
- An informed consent approach that supports adults in making decisions about their own healthcare.
- Collaboration with an endocrinologist or sexual health physician mentor when required to support clinical care and treatment planning.
- Care aligned with recognised Australian healthcare guidelines, including RACGP recommendations.
- A welcoming and inclusive environment that accepts new patients and provides ongoing support.

The gender affirming care services available can complement your existing healthcare team. If you already have a regular GP, the practice can work alongside them where appropriate to support your overall health. The practice also welcomes any new patients exploring gender affirming care to incorporate Healthcare on Collins as their regular GP service for unrelated health conditions if desired.
Healthcare on Collins is additionally home to other independent healthcare professionals including allied health practitioners such as physiotherapists, psychologists and dietitians; providing access to broader health support within the same CBD location.
FAQs
Do I need a referral for gender affirming care in Melbourne?
No. You do not need a referral from another doctor or mental health professional to book a gender affirming care consultation at Healthcare on Collins. Adults can book directly online through HotDoc or HealthEngine.
What is GAHT?
GAHT stands for gender affirming hormone therapy. It refers to hormone treatments that may support physical changes aligned with a person’s gender identity. This may include testosterone-based therapy, oestrogen-based therapy or other personalised hormone approaches.
How long does it take to start hormone therapy?
The timeline varies depending on each person’s healthcare needs. At Healthcare on Collins, the first appointment focuses on education, assessment and discussing your goals. Following appropriate health checks, hormone therapy may be started from the second appointment where suitable.
Does Healthcare on Collins provide gender affirming care for teenagers?
Currently, Healthcare on Collins provides gender affirming hormone therapy consultations for adults aged 18 and over. The clinic does not prescribe gender affirming hormones for patients under 18; however Paediatric patients are welcome to schedule for referrals to be generated to local gender clinics as linking care teams early with your future adult gender affirming provider helps with continuity of care once discharged from those services over time.
How do I start hormone therapy in Australia?
The first step is booking an initial consultation with a gender affirming care GP in Melbourne CBD. During this appointment, your GP will discuss your goals, explain how hormone therapy works, review your health history and answer any questions you may have.
Ready to Take the Next Step?
If you are looking for gender affirming care in Melbourne CBD, Healthcare on Collins is here to support you with respectful, inclusive, personalised and accessible healthcare.
Book your gender affirming care consultation online or call our clinic on (03) 9650 4284 to discuss your options.
